New Breast Lump After Fibroadenoma Surgery: What You Need to Know

Q: New Breast Lump After Fibroadenoma Surgery: What You Need to Know

Hello Angela： Based on your description, a fibroadenoma in your right breast was excised two years ago, and a new tumor has recently developed in a different location on the same side. <br>Since fibroadenomas are benign tumors and the previous surgery was successful in removing i

Breast lump

Hello Doctor: Two years ago, I had a 4 cm fibroadenoma removed from my right breast, but recently I discovered a hard lump in a different area of the right breast.
Does this situation count as a recurrence? Is it related to my daily lifestyle and diet? I am very afraid of returning to the same hospital for follow-up due to the unsightly scar left from the previous surgery.
Should I consider switching to a different hospital for examination? Thank you for your response.

pinggu, 20~29 year old female. Ask Date: 2005/07/16

Dr. Wang Zhitang reply Surgery

Hello Angela: Based on your description, a fibroadenoma in your right breast was excised two years ago, and a new tumor has recently developed in a different location on the same side.
Since fibroadenomas are benign tumors and the previous surgery was successful in removing it, this new growth should be considered a new occurrence rather than a recurrence, especially since it is in a different location.
The exact cause of fibroadenomas is still unclear, but some believe it may be related to a high-fat diet.
These tumors typically occur in individuals in their teens to twenties, with fewer cases seen after the thirties (while fibrocystic changes are more common between the ages of 30 and 50).
Some individuals may develop multiple tumors in one breast, while others may have them in both breasts.

The aesthetic outcome of surgical scars depends on several factors: whether the incision aligns with the natural skin lines, the extent and size of the tissue removed during surgery, the technique and sutures used for closure, the presence of any postoperative infection, and importantly, whether you have a predisposition to keloid formation (where scars are prominent, raised, and sometimes itchy or painful).
Given your situation, I recommend consulting another general surgeon for a second opinion before making a decision.

Reply Date: 2005/07/16

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding the new lump you have discovered in your right breast after having a fibroadenoma removed two years ago. It is understandable to feel anxious about any new changes in your breast, especially after a previous surgery. Let’s address your questions and concerns in detail.

Firstly, the appearance of a new lump in the breast after the removal of a fibroadenoma does not automatically indicate a recurrence of the fibroadenoma itself. Fibroadenomas are benign tumors, and while they can recur, the presence of a new lump could also be due to other factors such as cysts, scar tissue from the previous surgery, or even other benign conditions. It is essential to have this new lump evaluated by a healthcare professional to determine its nature.
Regarding your lifestyle and diet, while there is ongoing research into the relationship between diet, lifestyle, and breast health, there is currently no definitive evidence that directly links these factors to the development of new lumps in the breast. However, maintaining a healthy lifestyle, including a balanced diet and regular exercise, can contribute to overall well-being and may help in managing your health.

As for your concern about the scar from your previous surgery, it is common for patients to feel apprehensive about returning to the same healthcare facility, especially if they had a negative experience. However, it is crucial to prioritize your health and seek medical attention for any new symptoms. If you feel uncomfortable returning to the same hospital, it is entirely reasonable to seek a second opinion or consult a different healthcare provider. Many hospitals and clinics specialize in breast health, and you can look for one that has a good reputation for patient care and support.

When you visit a new healthcare provider, they will likely perform a physical examination and may recommend imaging studies, such as a mammogram or ultrasound, to further investigate the lump. Depending on the findings, they may suggest a biopsy to determine whether the lump is benign or malignant. Early evaluation is key to addressing any potential issues promptly.

In summary, while the discovery of a new lump can be concerning, it does not necessarily mean that you are experiencing a recurrence of your previous condition. It is essential to have it evaluated by a healthcare professional, whether at your previous hospital or a new facility. Your health and peace of mind are paramount, so do not hesitate to seek the care you need.

If you have any further questions or need assistance finding a new healthcare provider, please feel free to reach out. Take care of yourself, and I wish you the best in your health journey.

Sincerely,
Doctor Q&A Teams

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